| NPI | 1154888634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA JOHNSON CEO 810-966-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2023-08-07 |